SHELLY AGARWAL (MD) – Obstetrics & Gynecology Physician, NPI 1225284078

SHELLY AGARWAL (MD) is a healthcare provider. based in Tinley park, Illinois. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. 036127769 (IL). The NPI Number for SHELLY AGARWAL (MD) is 1225284078

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY AGARWAL (MD)
NPI
1225284078
Phone
(708) 226-7000
Address
17495 LA GRANGE RD
Enumeration Date
12 August 2008
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
7083885500
Graduation Year
2008 (18 years ago)
PAC ID
5092963074
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20120917000516
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:17State licenses:3Digital endpointsOther names

Provider Addresses for SHELLY AGARWAL (MD)

  • 17495 LA GRANGE RD

    TINLEY PARK, IL 604877581

    Phone: (708) 226-7000

    Fax: (708) 226-7170

    Type: Mailing

  • 12251 S 80TH AVE

    PALOS HEIGHTS, IL 604631290

    Phone: (708) 923-4000

    Fax: (708) 923-4816

    Type: Location

  • 676 N Saint Clair St Ste 1800

    Chicago, IL 606112960

    Phone: (312) 573-3700

    Fax: (312) 573-3705

    Type: Location

  • 1111 6th Ave

    Des Moines, IA 503142613

    Phone: (515) 247-4240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $23,185.

Total Amount is formed as General ($23,185) + Research ($0) + Ownership ($0) = $23,185.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Organon LLC ($22,559).

Total Amount

$23,185

General + Research + Ownership

Payments

50

Total payment records

General Amount

$23,185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (981 days ago).

Enrollment records

2

Earliest due date

2023-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120917000516IObstetrics/GynecologyIL2023-09-30
I20241028002126IObstetrics/GynecologyIATBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60487)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496667941View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
-IL
-IL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Is SHELLY AGARWAL (MD) listed with a National Provider Identifier?
Yes — SHELLY AGARWAL (MD) has NPI 1225284078 on file in the registry.
Is SHELLY AGARWAL (MD) still an active registrant?
SHELLY AGARWAL (MD) carries an active NPI according to the public dataset.
How would a patient describe SHELLY AGARWAL (MD)'s focus?
For SHELLY AGARWAL (MD), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is SHELLY AGARWAL (MD) located near Tinley Park?
SHELLY AGARWAL (MD) currently maps to Tinley Park, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.